JEANNE D MONTROSS ARNP PA NPI 1184889719

NPI Information

NPI: 1184889719
Provider Name: JEANNE D MONTROSS ARNP PA

Other Name: DR. JEANNE D MONTROSS PHD ARNP

Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
4240 STACEY RD E
JACKSONVILLE, FL
ZIP 32250
Phone: (904) 223-1684
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JEANNE D MONTROSS ARNP PA is a psychiatric/mental health clinical nurse specialist in Jacksonville, FL. JEANNE D MONTROSS ARNP PA NPI is 1184889719. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr. Jeanne D Montross Phd Arnp.

The provider's business location address is:

4240 STACEY RD E
JACKSONVILLE, FL
ZIP 32250-100
Phone: (904) 223-1684
Fax: (904) 223-9177

The provider's authorized official is Catherine Rybicki .
The authorized official title is Vice President and has the following contact phone number (904) 223-1684.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 3/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	1157192	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2004928	OTHER	FLORIDA	CIGNA
2	G1464A	MEDICARE PIN	FLORIDA
3	S18081	MEDICARE UPIN	FLORIDA
4	Y6677	OTHER	FLORIDA	BC/BS
5	PO0233697	OTHER	FLORIDA	MEDICARE RR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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